PARTNERS IN RECOVERY (NPI# 1154300291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154300291 |
| Entity Type | Organization |
| Organization Name | PARTNERS IN RECOVERY |
| Other Organization Name | SUNRISE COUNSELING CENTER |
| Practice Address |
830 W 17th St Bloomington IN 47404-3334 |
| Practice Telephone | 8123308183 |
| Practice Fax Number | 8123309682 |
| Mailing Telephone | 8123308183 |
| Mailing Fax Number | 8123309682 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MR. WARREN EUGENE MATTHIAS (CEO/OWNER) |
| Authorized Official Telephone | 8123308183 |
| Authorized Official Credential | CAS, CCRC-II, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
REF #: 1283-0-AS | IN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sunrise Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194080234 | Partners In Recovery | Community/Behavioral Health | 1611 County Road B W, Suite 212, Roseville, MN 55113-5021 | 2012-07-04 |
| 1972644946 | Partners In Recovery | Marriage & Family Therapist | 1433 E Route 66, Suite E, Glendora, CA 91740-3747 | 2007-02-10 |
| 1144236977 | Partners In Recovery | Clinic/Center | 6525 N Charles St, Gibson Building, Towson, MD 21204-6872 | 2006-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PARTNERS IN RECOVERY, INC. | 161 North St., Mattapoisett, MA 02739 |
| Colorado Business Entities | Partners in Recovery, LLC | 2421 Gill Ct, Loveland, CO 80538 |
| Street Address |
830 W 17TH ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917728 | Courtney Caryl Breyer | Counselor | 1701 American Blvd E Ste 4, Bloomington, MN 55425-1402 | 2020-06-17 |
| 1841832938 | Elizabeth Simon Simon | Counselor | 9193 S Greenridge Ln, Bloomington, IN 47401-9015 | 2019-10-10 |
| 1396220703 | Elizabeth Michelle Utterback | Counselor | 4633 W Richland Plaza Dr, Bloomington, IN 47404-9776 | 2018-10-02 |
| 1003316720 | William Douglas Portis | Counselor | 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704-6075 | 2018-02-19 |
| 1346601804 | Colette Maureen Bisanz-haas | Counselor | 9301 Bryant Ave S Ste 107, Bloomington, MN 55420-3438 | 2016-03-11 |
| 1952791733 | Ryan Conway | Counselor | 900 E 7th St, M005, Bloomington, IN 47405-3905 | 2015-01-30 |
| 1629487749 | Deborah C Wilkin | Counselor | 455 E Wylie Farm Rd, Bloomington, IN 47401-4591 | 2014-08-04 |
| 1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
| 1053691717 | Finding Your Path To Freedom | Counselor | 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701-5881 | 2011-08-25 |
| 1528376985 | Countermeasures, Inc. | Counselor | 110 N. Center, Bloomington, IL 61701-5002 | 2010-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.